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 CALLING ALL MEDICAL STUDENTS! V2, medical student chat+info center

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limeuu
post Mar 31 2012, 02:51 PM

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QUOTE(hypermax @ Mar 31 2012, 02:50 PM)
It's ok bro. the patient was well upon the next f/up. No point to argue further.
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until the next attack....and found to have gallstones.....maybe..... biggrin.gif
limeuu
post Mar 31 2012, 02:58 PM

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QUOTE(hypermax @ Mar 31 2012, 02:42 PM)
No. it was at klinik kesihatan setting. Also patient has hx of irregular food intake. patient came back 2 days later with worsening of pain. Syp mmt was given stat and pain was partially relieved. pt was discharged with ranitidine 150mg bd
that bit of history so popular amongst med students and doctors and patients alike, is of no aetiological or clinical relevance to dyspepsia of stomach origin..... biggrin.gif


Added on March 31, 2012, 2:59 pm
QUOTE(hypermax @ Mar 31 2012, 02:54 PM)
Pain for cholelithiasis is usually upon oily food intake, and it usually not of burning sensation. and definitely, not relieved by mmt or ranitidine.

Cheers

btw, i am really surprised that u think is gallstone even though i mentioned burning sensation. hmmm.
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you have obviously not seen enough patients, and thinks all patients must follow the textbooks..... biggrin.gif

This post has been edited by limeuu: Mar 31 2012, 02:59 PM
limeuu
post Mar 31 2012, 03:03 PM

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never mind lah....

i am just pulling legs here.....and to caution against dogma in medical practice....it is NOT as simple as the textbooks, i promise you.... smile.gif


Added on March 31, 2012, 3:05 pm
QUOTE(hypermax @ Mar 31 2012, 03:02 PM)
Perhaps. but we doctors should think of common things first :-)
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trust me.....gallstones are now more common than ulcers..... biggrin.gif

and the most common cause of dyspepsia is.......fd...... biggrin.gif

This post has been edited by limeuu: Mar 31 2012, 03:06 PM
limeuu
post Mar 31 2012, 03:11 PM

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see my last post....

it is not called nud anymore but fd..........

peptic ulcer is a dying disease..... biggrin.gif

This post has been edited by limeuu: Mar 31 2012, 03:13 PM
limeuu
post Mar 31 2012, 08:23 PM

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hypermax, as in the past, is still just as combative and abrasive..... smile.gif

a few years of clinical practise has not tempered the attitude, unfortunately.....if this is the same in real life, like i said in the past, there is going to be problem in teamworking.....

what i have stated are facts....i don't have to prove anything.....if you don't believe, don't.....if you want to know the facts, go google the subject lah....there are lots out there.....if you want a local picture, google klgoh's papers and articles.....don't expect to be spoon fed....smile.gif

This post has been edited by limeuu: Mar 31 2012, 08:43 PM
limeuu
post Mar 31 2012, 09:37 PM

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QUOTE(hypermax @ Mar 31 2012, 09:28 PM)

Seriously bro,i really think u are overtly sensitive. i didnt deny ur facts. i merely have doubts and i was only asking for proof.
if they are facts, why have doubts and want proof?..... biggrin.gif
limeuu
post Apr 1 2012, 09:43 PM

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go google klgoh and fd lah, like i said.....and google rome III.....

i am surprised med students and young doctors are not taught these new information.....
limeuu
post Apr 6 2012, 11:42 PM

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just a word of caution about the impending surplus of medical personnel....

the assumption is that the 'poorly trained' ones will be the ones who will fall by the wayside....

in real life, that is not necessarily the case....

what is the definition of a 'good' doctor?....

it varies depending who is looking....

to the patient, a good doctor is one who is nice, listens, agrees with the patient, gives sick leaves, makes them well fast, etc....not necessarily the competent one....

to a private hospital, it is one who orders the most investigations, admits the most patients, and do the most procedures....doesn't matter whether indicated or not....

to the gov administrator, it is one who agrees to be posted to where ever, without protest....doesn't matter if he/she knows nuts....

therefore, it is possible for a well trained, competent, and empathic doctor to be rejected because he scolds recalcitrant patients, does not do unnecessary tests/procedures, and wants to live with his ageing parents in the cities....

fact is, even now, some of the most successful gps are those who trained from dubious unis, performed badly while in compulsory gov service, but loved by patients because he seems to do miracles making patients recover from urti in record time....anyone can guess how/why?..... smile.gif
limeuu
post Apr 7 2012, 12:17 AM

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QUOTE(zstan @ Apr 7 2012, 12:06 AM)
i think over prescribing of antibiotics would be the case.
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contrary to popular belief, antibiotics do not make you recover faster from urti, which is mostly viral in nature....
limeuu
post Apr 7 2012, 12:08 PM

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much of symptoms of illness is actually the body's reaction, rather than the illness itself....

this is particularly so with urti...

antibiotics are not indicated, and will not alter the course of the illness, unless there is suspicion it is bacterial in origin or there is bacterial secondary infection....

some medications will suppress specific symptoms, and that is what is often given....it will NOT cure the illness...and is often not very effective, and comes with side effects.....

there is only one class of medication that is effective in suppressing the body's immune response that causes the symptoms, and make people 'feel' better very quickly.....and that is steroids....

podrunner should have been a medical student/doctor..... smile.gif
limeuu
post Apr 7 2012, 01:49 PM

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QUOTE(zltan @ Apr 7 2012, 01:36 PM)
Go ahead and immunosuppress someone with an infection? Going for a lawsuit are we? :S
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that comment reflects the difference between a theoretical pharmacy student, and an experienced clinician..... smile.gif
limeuu
post Apr 7 2012, 03:27 PM

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sorry, i got confused between zs and zl..... smile.gif

yes, i was referring to zs.....
limeuu
post Apr 8 2012, 11:37 AM

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QUOTE(onelove89 @ Apr 8 2012, 07:06 AM)
wow, I would think of symptomatic relief first if its viral urti. Bed rest and plenty of fluid tongue.gif pain killer decongestive agents, anti-tussives if needed.
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you will make a bad gp, and patients will give up on you as they will still be sick that night..... biggrin.gif
limeuu
post Apr 12 2012, 01:00 PM

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Crimea is the ukrainian uni that was derecognised in 2006.....but he will still be registered as it's a prospective de-recognition, ie only for those entering from 2006 onwards...

he has not got his full registration after provisional registration in 2008, which is unusual.....unless he is indeed still under housemanship, having been retained due to failure to show adequate competency...

'overwork' is a relative word.....what is normal relax work is overworking for some others....

and how does the police come to the conclusion that he injected himself with something to 'fight off fatigue'....?....i don't even know of the existence of such a drug.....
limeuu
post Apr 12 2012, 10:30 PM

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suicide and substance abuse are very real problems amongst doctors.....in fact, doctors are near the top in terms of professionals committing suicide....depression is common, in this high stress job....

doctors with substance abuse is also a problem, partly because of their ability to access such substances....

interestingly, these topics are one of the first to be covered in the utas med school.....

in a recent article in a publication of the medical protection society uk, the ethics of colleagues with mental disorder and/or substance abuse was highlighted....should doctors tell on their friends/colleagues?.....
limeuu
post Apr 12 2012, 10:54 PM

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working in kajang hospital before, i believe.....
limeuu
post Apr 13 2012, 08:43 AM

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in the past, incidences of fresh doctors not doing, or quitting housemanship is almost unheard of...

lately, it seems to be occurring with increasing regularity...

it reflects problems in the selection of medical students in the first place...

it is very expensive to train doctors in most countries, and the system tries to minimise drop out rates....

there is no such system in msia's free for all, unregulated, medical education......
limeuu
post Apr 13 2012, 11:36 AM

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QUOTE(CyberSetan @ Apr 13 2012, 10:22 AM)
that is what kinoa said....stopped, and then restarted (there is NO 'credit transfer' for housemanship.....)

that fact clearly suggests there was already some problems 3 years ago.....


Added on April 13, 2012, 11:41 am
QUOTE(cckkpr @ Apr 13 2012, 10:41 AM)
I guess we have to live with it and such incidents or related ones will occur with increasing regularity until such time parents realize that getting top marks in exams does not mean a "must" career in med.
that aspect of the problem, while may make unhappy students and doctors, is not the major problem....

the other aspect....where getting low marks also entitles one to study medicine, is the one that is going to produce the most issues in future....

This post has been edited by limeuu: Apr 13 2012, 11:41 AM
limeuu
post Apr 13 2012, 12:59 PM

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QUOTE(Syd G @ Apr 13 2012, 12:46 PM)
http://au.news.yahoo.com/thewest/a/-/break...amid-baby-boom/

» Click to show Spoiler - click again to hide... «


Another motivation to migrate laugh.gif ..
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the 'shortage' is self induced...by making it too risky to practice obstetrics....and deterring people from choosing the field.....

making gps to practice obstetrics will not work, as few, if any will want to take the extra risk, and the enormous medical insurance they will need to pay to do obstetrics....

that is what happens when people do not accept bad outcome as natural, and sue for malpractice for every bad outcome.....
limeuu
post Apr 13 2012, 03:05 PM

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under existing, and the coming revised conditions, for a fresh graduate wanting to apply for independent skilled migration, they need the full 20 points from ielts band 8, otherwise they will not have enough points....

that is not that difficult for many msians and sporeans.....

but it is almost impossible to most prc....

485 still exist, but even if they get jobs, they will still need the 885 (or the new 189) after the 18 months is up...and will still need the full 20 points....

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